背景：加拿大土著和非土著人民之间的心理健康差异与潜在的经济，社会,和政治不平等，这是殖民和土著文化压迫的遗产。它还广泛承认，目前可用的心理健康服务在文化上可能不适合支持土著加拿大人的健康需求。为期两天的土著心理健康论坛审查了第8条约领土上的伍德布法罗地区（RMWB）土著社区之间的心理健康需求和差距，在阿尔伯塔省北部，加拿大。本文概述了利益相关者参与论坛所产生的见解，以确定和优先考虑土著精神卫生的方向，并为该地区不同的土著人口建立改善精神卫生服务和计划的愿景和战略。
方法：我们应用了一种嵌入土著知识中的改进的名义组技术（NGT）共识方法，以确定以土著为中心的心理健康的关键优先事项和方向，并从论坛上进行的讨论中综合信息。在NGT之后，与参与者一起进行了参与性社区愿景活动，以制定愿景，指导原则,以及RMWB土著心理健康战略行动计划的组成部分。
结果：圆桌会议小组讨论了确定土著精神健康优先事项和方向的四个关键主题：1）了解土著人民精神健康经历的现实，2)设计一个整体和文化根源的心理健康系统，3)促进精神卫生服务提供方面的跨部门参与和合作，4)关注儿童和青年。社区愿景活动帮助利益攸关方设想解决精神卫生系统现有差距的方向或路径，以及加强该地区土著精神卫生的机会。
结论：论坛参与者围绕社会和情感福祉的整体概念描述了心理健康和福祉。解决土著精神健康和保健问题涉及通过各种方案在包括社区和学校在内的各种环境中采取多部门行动，政策,和其他促进所有土著人民心理健康的干预措施，以及那些面临更大风险的人，如儿童和青年。
BACKGROUND: Mental health disparities between Indigenous and non-Indigenous people in Canada are related to underlying economic, social, and political inequities that are legacies of colonization and the oppression of Indigenous cultures. It also widely acknowledged that mental health services currently available may not be culturally appropriate in supporting the health needs of Indigenous Canadians. A two-day Indigenous mental health forum examined mental health needs and gaps among Indigenous communities across the Regional Municipality of Wood Buffalo (RMWB) on Treaty 8 territory, in northern Alberta, Canada. This paper outlines the insights generated by stakeholder engagement at the forum to identify and prioritize directions for Indigenous mental health and build a vision and strategy for improving mental health services and programs for the region\'s diverse Indigenous population.
METHODS: We applied a modified nominal group technique (NGT)
consensus method embedded within Indigenous knowledge to determine key priorities and directions for Indigenous-focused mental health and synthesize information from discussions that occurred at the forum. Following the NGT, a participatory community visioning exercise was conducted with participants to develop a vision, guiding principles, and components of an action plan for an Indigenous mental health strategy for the RMWB.
RESULTS: Four key themes for setting priorities and directions for Indigenous mental health emerged from roundtable group discussions: 1) understand the realities of mental health experiences for Indigenous peoples, 2) design a holistic and culturally rooted mental health system, 3) foster cross-sectoral engagement and collaboration on mental health service delivery, and 4) focus on children and youth. The community visioning exercise helped stakeholders to visualize a direction or path forward for addressing existing gaps in the mental health system and opportunities for strengthening Indigenous mental health in the region.
CONCLUSIONS: Forum participants described mental health and well-being around holistic concepts of social and emotional well-being. Addressing Indigenous mental health and wellness involves multi-sectoral action in various settings including community and school through programs, policies, and other interventions that promote mental health for all Indigenous peoples, as well as for those at greater risk such as children and youth.
